Search › Florida › 171100000X
Andrea Izquierdo, DOM, LAC
NPI 1972031169 · on the registry since 2017 · sole proprietor
Practice
- Address
- 304 S Harbor City Blvd
Melbourne, FL 32901 - Phone
- (321) 312-0771
- Organisation at this address
- Bodhi Traditional Chinese Medicine Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida